Abstract PO-255: Cervical cancer prevention and HPV self-sampling awareness and acceptability among women living with HIV: A qualitative investigation from the patients' and providers' perspectives

2022 ◽  
Author(s):  
Daisy Le ◽  
Annie Coriolan Ciceron ◽  
Min (Jaime) Jeong Jeon ◽  
Jose Bordon ◽  
Jeanne Jordan ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Qualitative Investigation ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals Cervical Cancer Prevention Knowledge and Abnormal Pap Test Experiences Among Women Living with HIV/AIDS

2014 ◽  
Vol 30 (2) ◽  
pp. 213-219 ◽  
Author(s):  
Lisa T. Wigfall ◽  
Shalanda A. Bynum ◽  
Heather M. Brandt ◽  
Daniela B. Friedman ◽  
Sharon M. Bond ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Pap Test ◽  
Cervical Cancer Prevention ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

scholarly journals Support for Lowering Cervical Cancer Screening Age To 25 for Women Living With HIV: Retrospective Cross-Sectional Programmatic Data From Botswana

2021 ◽  
Author(s):  
Doreen Ramogola-Masire ◽  
Surbhi Grover ◽  
Anikie Mathoma ◽  
Barati Monare ◽  
Lesego Gabaitiri ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Age Groups ◽  
Cervical Cancer Prevention ◽  
World Health ◽  
Hiv Status ◽  
Cross Sectional ◽  
Cancer Risk Factors ◽  
Women Living With Hiv ◽  
Younger Age ◽  
Living With Hiv

Abstract Background: Women living with human immunodeficiency virus (HIV) tend to develop cervical cancer at a younger age than HIV-negative women. The World Health Organization’s (WHO) new guidelines for screening and treatment of cervical pre-cancer lesions for cervical cancer prevention include a conditional recommendation for initiating screening at age 25 for women living with HIV (WLWH). This recommendation is based on low-certainty evidence, and WHO calls for additional data. We describe the association of age and HIV status with visual inspection with acetic acid (VIA) positivity and cervical intra-epithelial neoplasia grade two or higher (CIN2+) in Botswana. Methods: A retrospective cross-sectional study of 5,714 participants aged 25 through 49 years who underwent VIA screening. VIA-positive women received cryotherapy if indicated or were referred for colposcopy. Known cervical cancer risk factors, screening, and histological results were extracted from the program database. We compared the proportions and association of VIA positivity and CIN2+ by age and HIV status.Results: Median age was 35 years [IQR 31-39], and 18% of the women were aged 25-29. Ninety percent were WLWH; median CD4 count was 250 cells/µL [IQR 150-428], and 34.2% were on anti-retroviral treatment (ART). VIA-positivity was associated with younger age (OR 1.48, CI 1.28, 1.72 for 25-29 years versus age 30-49 years ), and HIV-positivity (OR 1.85, CI 1.51, 2.28). CIN2+ was associated with HIV positivity (OR 6.12, CI 3.39, 11.10), and proportions of CIN2+ were similar for both age groups in WLWH (12.1% versus 10.8%).Conclusions: Younger WLWH in Botswana had a significant burden of CIN2+. This finding further supports lowering the screening age for WLWH from 30 to 25.

scholarly journals Improving uptake of cervical cancer screening services for women living with HIV and attending chronic care services in rural Malawi

2020 ◽  
Vol 9 (3) ◽  
pp. e000892
Author(s):  
George C Talama ◽  
Mairead Shaw ◽  
Jordan Maloya ◽  
Tafwirapo Chihana ◽  
Lawrence Nazimera ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Communicable Disease ◽  
Scale Up ◽  
Cervical Cancer Prevention ◽  
Reproductive Age ◽  
Hiv Care ◽  
Women Living With Hiv ◽  
Living With Hiv

Malawi has the second highest age-standardised incidence rate and the highest mortality rate of cervical cancer in the world. Though the prevalence of HIV is currently 11.7% for Malawian women of reproductive age, cervical cancer screening rates remain low. To address this issue, we integrated cervical cancer screening into a dual HIV and non-communicable disease clinic at a rural district hospital in Neno, Malawi. The project was implemented between January 2017 and March 2018 using the Plan-Do-Study-Act model of quality improvement (QI). At baseline (January to December 2016), only 13 women living with HIV were screened for cervical cancer. One year after implementation of the QI project, 73% (n=547) of women aged 25 to 49 years living with HIV enrolled in HIV care were screened for cervical cancer, with 85.3% of these receiving the screening test for the first time. The number of women living with HIV accessing cervical cancer services increased almost 10 times (from four per month to 39 per month, p<0.001). Key enablers in our QI process included: strong mentorship, regular provision of cervical cancer health talks throughout the hospital, nationally accredited cervical cancer prevention training for all providers, consistent community engagement, continuous monitoring and evaluation, and direct provision of resources to strengthen gaps in the public system. This practical experience integrating cervical cancer screening into routine HIV care may provide valuable lessons for scale-up in rural Malawi.

scholarly journals Understanding barriers to access and utilization of cervical cancer screening services among women living with HIV in Kyenjojo District, Western Uganda protocol

2018 ◽  
Author(s):  
Katwesige Wycliff
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Scale Up ◽  
Cervical Cancer Prevention ◽  
Women Living With Hiv ◽  
Barriers To Access ◽  
Screening Services ◽  
Living With Hiv ◽  
Hiv Aids

IntroductionCervical Cancer is preventable and ranks as the second common cancer among women globally. Since 1981, the incidence of cervical cancer has been on the rise among women living with HIV/AIDS. Cervical cancer in Uganda is usually diagnosed late and the prognosis is very poor. There are gaps in general knowledge on cervical cancer (CC) screening and availability of screening services in the country. This study is intended to explore such barriers to access and utilization of cervical cancer screening services among WHIV in Kyenjojo DistrictMethodologyWe will search publications and written articles on cervical cancer prevention especially screening among HIV women, from PubMed, Cochrane libraries, as well as the ministry of health unpublished reports. We will employ a qualitative study design using key informant (KI) purposively selected from Kyenjojo Hospital Reproductive Health and ART Clinics. This will permit us to achieve a detailed investigation using health belief model on individual perceptions while providing deeper insights into the factors that hinder access and utilization of cervical cancer screening services among HIV/AIDS women in Kyenjojo District. ConclusionThis study is intended to explore such barriers to access and utilization of cervical cancer screening services among WHIV in Kyenjojo. The study will thus significantly contribute to improved programming, advocacy, and efforts to scale up CC services among rural populations in Uganda while contributing to overall maternal survival in line with 2030 Sustainable Development Goals country initiatives

The Influence of Health Literacy on Knowledge of Cervical Cancer Prevention and Screening Practices among Female Undergraduates at a University in Southwest Nigeria

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Sunday Joseph Ayamolowo ◽  
Lydia Feyisayo Akinrinde ◽  
Monisola Omoyeni Oginni ◽  
Love Bukola Ayamolowo
Keyword(s):  
Cervical Cancer ◽  
Health Literacy ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Cervical Cancer Screening ◽  
Low Income ◽  
Cervical Cancer Prevention ◽  
Screening Practices ◽  
Cancer Prevention And Screening ◽  
Southwest Nigeria

The global incidence of cancer is rising, and low-income and lower-middle-income countries have the worst figures. However, knowledge of cervical cancer prevention and cervical cancer screening practices remains poor in these regions. This study assessed the concept of health literacy as a potential determinant of knowledge of cervical cancer prevention and screening practices among female undergraduates. A descriptive cross-sectional study was conducted among 385 female undergraduates at a university in southwest Nigeria. A validated questionnaire composed of subscales on nine components of health literacy, knowledge of cervical cancer prevention, and cervical cancer screening practices was used for data collection. The majority of the respondents obtained a high score on most of the components of health literacy and 66% had good knowledge of cervical cancer prevention. Only 11% demonstrated good practices of Pap smear testing. Of all the components of health literacy, “feeling understood and supported by healthcare providers” (OR = 0.075; 95% CI [0.036–0.115]; p = 0.015) and “understanding health information well enough to know what to do” (OR = 0.055; 95% CI [0.006–0.104]; p = 0.029) were significantly associated with knowledge of cervical cancer prevention. Out of the major challenges related to cervical cancer screening among undergraduates, the feeling of being at risk (OR = 4.71; p < 0.05) and uncomfortable experiences from past screening (OR = 0.12; p < 0.05) were significantly associated with going for cervical cancer screening. The study concluded that levels of health literacy influenced knowledge of cervical cancer prevention among female undergraduates, but it did not affect their engagement in cervical cancer screening practices.

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